Senior Medical Billing & Collections Specialist

LCMC Health; New Orleans (LA); On-site; USD 45,000 - 65,000; Full time

Job summary

LCMC Health in New Orleans seeks a Senior Collector to join our healthcare financial team. You will ensure timely submission of professional claims, review electronic submissions, and correct errors to keep billing accurate and compliant.

You’ll mentor staff, analyze denial trends, and collaborate with supervisors to improve processes and patient financial experience while upholding HIPAA and state regulations.

Qualifications

• 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management.
• High school diploma or equivalent.
• Preferred: Certification in billing and/or coding.

Responsibilities

• Maintain responsibility of the timely submission of all professional claims assigned.
• Work daily electronic billing file and submits insurance claims to third-party payers; reviews daily edit reports from the professional billing system and makes necessary corrections to allow electronic submission.
• Review error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.
• Monitor claim rejections for trends and issues and reports findings to supervisor.
• Prepare and submit manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.
• Coordinate medical record requests as needed.
• Document billing activity on the patient account; ensures compliance with all state and federal billing regulations and reports any suspected compliance issues to the billing manager and / or supervisor.
• Work with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department.
• Observe best practice processes in billing, follow-up, and customer service activities.
• Participate in staff training that aligns with recognized improvement opportunities and increases understanding of Medicare/Medicaid requirements as well as general billing and follow-up processes.
• Act in accordance with LCMC’s mission and values, while serving as a role model for ethical behavior.
• Adhere to federal and state regulations related to the protection of patient information (e.g., HIPAA) as well as facility-specific guidelines.

Skills

Billing knowledge

Denial management

Customer service

Education

High school diploma or equivalent

Tools

Billing system

Job description

LCMC Health in New Orleans seeks a Senior Collector to join our healthcare financial team. You will ensure timely submission of professional claims, review electronic submissions, and correct errors to keep billing accurate and compliant.

You’ll mentor staff, analyze denial trends, and collaborate with supervisors to improve processes and patient financial experience while upholding HIPAA and state regulations.